| NPI | 1740712090 |
|---|---|
| Former Name | NICOLE LESIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.015750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015750) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-11-06 |